Provider Demographics
NPI:1083793889
Name:SONNIER, JAMES C (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:SONNIER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 LEE DR STE Q
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4977
Mailing Address - Country:US
Mailing Address - Phone:225-766-2952
Mailing Address - Fax:225-766-2892
Practice Address - Street 1:257 LEE DR STE Q
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4977
Practice Address - Country:US
Practice Address - Phone:225-766-2952
Practice Address - Fax:225-766-2892
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1059111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5X457Medicare UPIN